Individual
HAILEY DAWN JAHNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
03485
NE
225100000X
Physical Therapist
Primary
11-06122
MO
225100000X
Physical Therapist
11-06127
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11-06122
PHYSICAL THERAPY LICENSE
KS
01
—
3946
PHYSICAL THERAPY LICENSE
NE
Enumeration date
06/07/2019
Last updated
04/07/2023
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